Total-body irradiation and cataract incidence: A randomized comparison of two instantaneous dose rates

Journal Article · Sat Jan 15 04:00:00 EST 1994 · International Journal of Radiation Oncology, Biology and Physics; (United States)

DOI:https://doi.org/10.1016/0360-3016(94)90056-6· OSTI ID:6856897

Ozsahin, M; Belkacemi, Y; Pene, F; Dominique, C; Schwartz, L H; Uzal, C; Lefkopoulos, D; Gindrey-Vie, B; Vitu-Loas, L; Touboul, E ^[1]

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1. Services de Radiotherape A. et B, Paris (France); and others

To assess the influence of instantaneous total-body irradiation dose rate in hematological malignancies, the authors randomized 157 patients according to different instantaneous dose rates. Patients have undergone a total-body irradiation before bone-marrow transplantation according to two different techniques: Either in one fraction (1000 cGy given to the midplane at the level of L4, and 800 cGy to the lungs) or in six fractions (1200 cGy over 3 consecutive days to the midplane at the level of L4, and 900 cGy to the lungs). Patients were randomized according to two instantaneous dose rates, called LOW and HIGH, in single-dose (6 vs. 15 cGy/min) and fractionated (3 vs. 6 cGy/min) TBI groups; there were 77 cases for the LOW and 80 for the HIGH groups, with 57 patients receiving single-dose (28 LOW, 29 HIGH) and 100 patients receiving fractionated total-body irradiation (49 LOW, 51 HIGH). As of July 1992, 16 of 157 patients developed cataracts after 17 to 46 months, with an estimated incidence of 23% at 5 years. Four of 77 patients in the LOW group, 12 of 80 patients in the HIGH group developed cataracts, with 5-year estimated incidences of 12% and 34%, respectively. Ten of 57 patients in the single-dose group, and 6 of 100 patients in the fractionated group developed cataracts, with 5-year estimated incidences of 39% and 13%, respectively. When the subgroups were considered, in the single-dose group, 3 of 28 LOW patients, and 7 of 29 HIGH patients developed cataracts, with 5-year estimated incidences of 24% and 53%, respectively; in the fractionated group, 1 of 49 LOW patients, and 5 of 51 HIGH patients developed cataracts, with 5-year estimated incidences of 4% and 22%, respectively. There was no statistically significant difference in terms of 5-year estimated cataract incidence between the patients receiving steroids and those not. The instantaneous dose rate was the only independent factor influencing the cataractogenesis. 18 refs., 5 figs., 1 tab.

• OSTI ID: 6856897
• Journal Information: International Journal of Radiation Oncology, Biology and Physics; (United States), Journal Name: International Journal of Radiation Oncology, Biology and Physics; (United States) Vol. 28:2; ISSN IOBPD3; ISSN 0360-3016
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
BODY AREAS
CATARACTS
DISEASE INCIDENCE
DISEASES
EXTERNAL IRRADIATION
EYES
FACE
HEAD
IRRADIATION
ORGANS
RADIATION EFFECTS
SENSE ORGANS
SENSE ORGANS DISEASES
SIDE EFFECTS
WHOLE-BODY IRRADIATION